PMID- 18044315
OWN - NLM
STAT- MEDLINE
DCOM- 20080115
LR  - 20211203
IS  - 0354-950X (Print)
IS  - 0354-950X (Linking)
VI  - 54
IP  - 2
DP  - 2007
TI  - Retroperitoneal endoscopic adrenalectomy vs. conventional adrenalectomy in 
      treatment of benign adrenal lesions--comparative analysis.
PG  - 45-8
AB  - Minimally invasive adrenalectomy is considered to be the standard of care for the 
      surgical treatment of the adrenal gland' s pathology. Since the initial report of 
      laparoscopic adrenalectomy in 1992 and of retroperitoneal endoscopic 
      adrenalectomy in 1994, it has evolved into a feasible and safe minimally invasive 
      procedure for benign adrenal tumors. Clinical characteristics and outcomes of 63 
      retroperitoneal endoscopic adrenalectomies (REAs) and 45 conventional 
      adrenalectomies (CAs) from 1996 to 2004 were evaluated. 61 patients underwent 63 
      REAs. Tumor size varied from 2 to 8 cm. Median age was 48.6 years. Median 
      operative time was 135 min (45-240), median intraoperative blood loss - 85 ml 
      (30-550). The complication rate was 17.77%. Median postoperative hospital stay 
      was 5 days (2-10). 44 patients underwent 45 conventional adenalectomies. Median 
      age was 44.5 years (16-71). Intraoperative complication rate was 17.77%, 
      postoperative -22.22 %, Median operative time was 120 min (75-240). Median 
      postoperative hospital stay was 10 days (6-21). No statistically significant 
      difference was established between median operative times of REA- and CA-groups 
      (p=0.91). Conventional adrenalectomy was associated with a significantly 
      increased complication rate (p= 0.009). Hospitalization was also longer after the 
      open tecnique (d). Introduced in 1994 and displaying all advantages of minimal 
      access surgery REA has become the standard of care for benign adrenal tumors.
FAU - Todorov, G
AU  - Todorov G
AD  - Second Surgical Department, Aleksandrovska University Hospital, Sofia, Bulgaria.
FAU - Lukanova, Tc
AU  - Lukanova T
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Serbia
TA  - Acta Chir Iugosl
JT  - Acta chirurgica Iugoslavica
JID - 0372631
SB  - IM
MH  - Adolescent
MH  - Adrenal Gland Neoplasms/surgery
MH  - Adrenalectomy/*methods
MH  - Adult
MH  - Aged
MH  - Cushing Syndrome/surgery
MH  - Female
MH  - Humans
MH  - *Laparoscopy
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Prohibitins
EDAT- 2007/11/30 09:00
MHDA- 2008/01/16 09:00
CRDT- 2007/11/30 09:00
PHST- 2007/11/30 09:00 [pubmed]
PHST- 2008/01/16 09:00 [medline]
PHST- 2007/11/30 09:00 [entrez]
AID - 10.2298/aci0702045t [doi]
PST - ppublish
SO  - Acta Chir Iugosl. 2007;54(2):45-8. doi: 10.2298/aci0702045t.